IVIG is my Miracle Drug

    • Anonymous
      November 13, 2007 at 4:35 pm

      Wow, I am not even sure what to say, but I had my first round of IVIG yesterday. It was a long day, but I did really well, no side effects, etc. But I was basically the same as far as walking last night and this morning and a little bummed about the whole thing. I have really been hopeful that this would help me.

      Today was my second day and I realized I felt something different in my hands and feet. When I got home I walked into the living room, put down my cane, and could walk across the room with hardly a limp. I can’t move fast at all, and am afraid to do anything now as I don’t want to mess it up!!!! Can this really have worked so quickly?? I am only halfway through the treatment.

      I never had treatment at my onset as he said it was too late and to just wait for things to go away. Things improved some through the summer, but the last month or so I have lost strength. The new neuro said it was a relapse and to have the IVIG. I’m ready to buy stock in IVIG!!!!

      So how long will this last and did it just stop the inflammation of my nerves or is all of this a big mystery? And is it going to go away at some point where I need it again??? I don’t want to give anyone false hope, but I said I would share my experience. I really didn’t expect to have this nice of a result after ALL of this time. Gabrielle

    • Anonymous
      November 13, 2007 at 9:10 pm

      gab,

      yes, it can work that fast on a few. what it did was get rid of the bad gbs antibodies in your blood. as long as your immune system has stopped producing any more of those antibodies, it is permanent. if still producing or you have another relapse in the future, you may need more ivig. take care. be well.

      gene gbs 8-99
      in numbers there is strength

    • Anonymous
      November 13, 2007 at 9:30 pm

      Gene,

      Well I am quite impressed for sure. I am making walking tracks in my carpet testing myself to see if it’s still better:) It still doesn’t make sense though, I didn’t remyelinate in 2 days. Is it that these bad GBS antibodies are constantly irritating my nerves and the IVIG takes those bad antibodies away? I did read that was a theory that the IVIG overtakes the bad antibodies, allowing the nerve to regenerate. I have the NCV/EMG’s again in two weeks so will be curious what shows up. Thank you again, and again, for you quick response. Gabrielle

    • November 13, 2007 at 10:59 pm

      You see, there are miracles. I smiled the whole time I read your post. I can see the look of excitement on your face! It is the same look that Kevin and I get.

      Be careful as to not overdue it. You are not in the same shape you were. Kevin ALWAYS gets this sense of elation and runs out the door the day after his treatments and plays football with the guys and almost always comes in with a sprained ankle (as he did yesterday) His legs can move as fast as they used to but the muscles are not yet in that shape.
      Regarding your statement about regeneration, read my thread on ivig is over, confusion. I think you present the same way as Kevin being that you get instantaneous relief. I believe it is just an inflamation ON TOP of the myelin. I don’t think Kevin actually has a destruction of the myelin. Just my thoughts.

      From what I can understand, the ivig is what the immune system is attacking instead of the myelin. Maybe some can last longer between infussions because the level of their cidp attacks are slower. Who knows? What I DO know is ivig is working for you too!!! Keep faith and enjoy your life again.
      Good Luck!
      Dawn Kevies mom

    • Anonymous
      November 14, 2007 at 8:12 am

      gab,

      you said – ‘It still doesn’t make sense though, I didn’t remyelinate in 2 days.’
      i have no answer for it either.

      you said – ‘Is it that these bad GBS antibodies are constantly irritating my nerves and the IVIG takes those bad antibodies away?’
      basically, yes. the antibodies destroy the nerves.

      take care. be well.
      gene gbs 8-99
      in numbers there is strength

    • November 14, 2007 at 11:48 am

      gab I am so glad you are feeling so much better!! Remember, like the others said, dont overdo it.

      I have a question about ivig….if someone didnt get treatment but is essentially better (at least way better than at onset) but still has issues, does that mean there are still antibodies?? I would hate for those buggars to still be in me lurking around, even though I have no insurance now and cant seek out ivig I still wonder if it would do a world of good. I mean they say that ya gotta have the treatment within a certain time frame, but what if you dont have cipd would it still be immensely helpful?

    • Anonymous
      November 14, 2007 at 2:29 pm

      I really don’t know the answer to that one. I was getting worse with new damage, and that is what we are supposed to be treating now. My walking better only last a couple of hours though and is back to not good today. Again I don’t understand that at all. I have one more day of treatment so we’ll see. I did see somewhere a time frame of 18 months from onset, though I don’t remember if it was for CIDP or GBS, so I am within that time frame and so are you.

      I’m really sorry you don’t have insurance now to at least be able to find out. Are you still making progress? And I guess at some point if you do get insurance you could go back to the neuro and ask. Maybe someone else will have more insight than I do. Take care, Gabrielle

    • Anonymous
      November 14, 2007 at 8:14 pm

      FOM,

      In GBS ……. IVIg works when your myelin/axon is being attacked, just as you stated. Once the GBS attack is over, IVIg really has no value of so to speak. Oh it may give you boost/high for a few days, but at a the price IVIg is, there is no way that any insurance company would pay to get that boost for a couple of days, just for your body to return to what it was before. Unfortunately, there are many CIDP’ers who arent been given IVIg because of ‘the shortage’ or because of the price.

      I know how difficult it is to try and function some days (often weeks) – but, you have to remember you are only in your second year of recovery. I dont want to push meds, but decades after my diagnosis, I take something to help me function during the day. I think this is something you should look at later down the line once you feel your recovery is at its best, truly I feel it is still too soon to take that step until you studied the pro’s and con’s of taking such medication so that you dont push your body beyond where it should be at this point.

    • Anonymous
      November 14, 2007 at 9:13 pm

      fom,

      as ali says, when the attack is over & the gbs antibodies are cleared from your blood, it doesn’t help. but you bring out a good point. what if, besides your residuals, your immune sys is generating a small amt of the bad gbs antibodies. you might never know it figuring it is all residuals. hmmm… take care. be well.

      gene gbs 8-99
      in numbers there is strength

    • Anonymous
      November 14, 2007 at 9:16 pm

      I am hoping this isn’t just a couple of days boost for me. I would be so bummed:( I had a couple of hours yesterday that my walking improved, and the same today, about 4-5hours of improvement. I don’t go back for another two weeks, but say my walking improves for a week or so and then goes back to being a mess. Do they give you more IVIG or do you have to wait a period of time? And is the next dose just a days worth or they do the entire amount again? Gabrielle

    • November 15, 2007 at 8:35 am

      Gabrielle,
      I am a little confused. Do you have gbs or cidp? If cidp, there will be additional treatments. Kevin is going to get a couple of loading dose sessions once a month and at 2g/kg. Then we will switch to a maintanence dose 1g/kg every 4-6 weeks (to be determined) Everyone’s maintanence schedule is different based on their individual progression or regression. It is like tunning a piano, a fine art of figuring out YOUR needs.

      You may need a few loading dose treatment sessions to get things under control and to see a marked difference in your symptoms. You did say that your walking has already improved, so that is a good sign to me.

      Now, if you have gbs, I can’t see ivig working for you other than as Ali mentioned as a short term energy boost. The only way to say cidp for sure is worsenning of ncv/emg from last, clinical weakness progression with no improvement when rested for a while, ofr a l/p to confirm additional elevation of protein. Howevewr, I believe that may not be an option at this point since you just had ivig.

      good luck.
      Dawn

    • Anonymous
      November 15, 2007 at 3:19 pm

      Hi Dawn!

      I’m confused too!! My diagnosis was GBS initially, better said “I think it is GBS” My only clinical test that showed a problem was the LP which was elevated. I went to a specialist who said “I think it is a GBS relapse” since I have been getting worse over the past month or so. I was able to walk sort of normal the second day for a couple of hours, and yesterday for a couple of hours normal. Today, my last dose, and it has kicked in so to speak and my walking is better. I’ll see how long this lasts today. My recent nerve tests showed new myelin destruction, hence the IVIG. I am thinking, seeing how quick I responded, maybe it is CIDP and will ask him on my follow up. It would be a mean tease to let me walk more normal for a couple of hours and then no more. I’ll see what happens and go from there. I feel like what you said, have a couple of treatments/loading doses and then see if I relapse again maybe maintainence at that point. Thanks and I’ll let you guys know. I did walk to my neighbors house so they could see I actually could walk like a normal person:) Gabrielle

    • Anonymous
      November 17, 2007 at 9:49 am

      Well my update today, Saturday is I only had a couple of hours on days two and three of improved walking and I am back to extreme weakness and unable to walk well at all. It was like I was “released” for a couple of hours and then “attacked” again. That’s the best way I can describe it. I had the correct dosage, as I looked that up to be sure. So now what? I know I have to wait, but it was like a cruel tease:) “Here, you can walk a little, NOT so quick!” and it was snapped back up:) If anyone has any insight as to their early treatments with IVIG, if the story is similiar, or what happens next, I’d be grateful. Have a great weekend! Gabrielle

    • Anonymous
      November 17, 2007 at 5:15 pm

      gab,

      could be that you over did it & your residuals are giving you trouble big time. by the time you feel tired it is too late. rest a lot lying down for weeks, if necessary, & see if it helps. also walk much less even if you feel up to it.

      with the ivig new in you, it seems unlikely but possible, that you are under a real gbs attack. take care. be well.

      gene gbs 8-99
      in numbers there is strength

    • Anonymous
      November 17, 2007 at 10:23 pm

      Gene,

      I will tell you that I probably don’t rest as much as needed but I am afraid to. I have had a fear of slowing down since all of this started. In my mind as long as I am moving I won’t lose any more ground than I already have. I tried not doing anything when this second attack or relapse started for several days. I haven’t gone to PT in about a week and a half now. I will try to really pay attention to not doing much at all even so that is hard for me. Thanks again….Gabrielle